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New York rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,855.86 / $3,855.86 / $5,976.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,325.68 / $4,000.45 / $4,096.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $4,819.82 / $7,229.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,819.82 / $5,113.35 / $5,113.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $5,683.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,604.04 / $4,604.04 / $9,438.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,831.39 / $4,831.39 / $5,684.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,092.64 / $5,092.64 / $5,092.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $4,964.41 / $5,113.35
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $5,684.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $5,913.07 / $7,616.56
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,709.54 / $2,709.54 / $5,092.64
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,092.64 / $5,092.64 / $5,092.64